早期削痂对深Ⅱ度烧伤创面愈合的临床研究

Clinical study of early tangential excision for deep Ⅱ burn wound healing

目的探讨深Ⅱ度烧伤创面伤后24 h内削痂的临床疗效。方法将30例有削痂手术指征并在伤后24 h内行削痂术的深Ⅱ度烧伤患者设为实验组,并另选30例削痂条件相似而且按常规在伤后4-6 d行削痂手术设为对照组。比较两组在休克期补液量、并发症发生率、尿量及创面愈合时间。结果两组患者在休克期的补液量比较差异无统计学意义（P〉0.05）,实验组在休克期的尿量显著多于对照组（P〈0.05或0.01）,并发症发生率显著低于对照组（P〈0.05）,同时创面愈合时间较对照组明显缩短（P〈0.01）。结论深Ⅱ度烧伤创面于伤后24 h内削痂是安全的,并能缩短创面愈合时间,减轻患者的经济负担。

Objective To study the clinical effect of tangential excision for wound healing within 24h after deep Ⅱ burn.Methods 30 patients with surgical indications and under going tangential excision with 24h after deep Ⅱ degree burn were chosen as the treatment group.30 cases of similar conditions for tangential excision and under going operation during 4 to 6 days after injury were chosen as the control group.Their fluid volume in shock stage,incidence rate of complication,urine volume and wound healing time was compared.Results There was no significant difference of the fluid volume in shock stage between two groups（P〈0.05）;the urine volume of treatment group was larger than control group in shock stage,while the complication rate was significantly lower,and the wound healing time was shorter comparing with control group（P〈0.01）.Conclusion The tangential excision for wound healing within 24h after deep Ⅱ burn wounds is safe and can shorten healing time and reducing the economic burden of patients.